Printable sample custody record
Equipment sign-out sheet
Northline Community Center
06/04/2026 | Main office equipment cabinet | owner: Facilities desk
Open2
Overdue1
Returned1
Return instructions
Return to the desk before closing; note damage or missing accessories.
Item custody rows
| Item | Tag | Assignee | Date out | Due date | Return date | Condition | Due/return status | State | Notes |
|---|---|---|---|---|---|---|---|---|---|
| Facilities tablet cart | EQ-1042 | Mina Lopez | 06/02/2026 | 06/04/2026 | Not returned | Good | Due 06/04/2026; open | Open | Includes charger and room key clip. |
| Cordless drill kit | TOOL-217 | Avery Reed | 06/01/2026 | 06/03/2026 | Not returned | Fair | Due 06/03/2026; overdue | Overdue | Battery 2 is weak; inspect before next checkout. |
| Event radio set | RAD-08 | Jordan Kim | 06/04/2026 | 06/04/2026 | 06/04/2026 | Returned good | Returned 06/04/2026 | Returned | All three radios and charger returned. |
| Safety vest bundle | KIT-55 | West lot crew | 06/04/2026 | 06/07/2026 | Not returned | Good | Due 06/07/2026; open | Open | Eight vests in clear tote. |